Organization
COASTAL ANESTHESIA ASSOCIATES, PA
Active
Organization
COASTAL ANESTHESIA ASSOCIATES, PA
Active
Parent organization
COASTAL ANESTHESIA ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL ANESTHESIA ASSOCIATES, PA
Authorized official
DR. DAVID P LENSCH M.D. (PRESIDENT)
(910) 763-4555
Entity
Organization
Contact information
Practice address
1801 S 17TH ST, WILMINGTON, NC 28401-6443
(910) 763-4555
(910) 798-8922
Mailing address
1801 S 17TH ST, WILMINGTON, NC 28401-6443
(910) 763-4555
(910) 798-8922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119V
BCBS GROUP NUMBER
NC
01
—
24267
MEDCOST GROUP NUMBER
NC
01
—
2612380
CRNA GROUP MEDICARE NUMBE
—
01
—
4007773
BCBS TENNESSEE GROUP NO
NC
05
—
890119V
—
NC
Enumeration date
07/13/2006
Last updated
04/20/2008
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